Pleural tuberculosis masquerading as metastatic malignancy

Tuberculosis involvement of the pleura usually presents as pleural effusion, empyema or pleural thickening. In this communication we report a case of unilateral pleural tuberculosis presenting as multiple nodular masses without effusion, which raised the possibility of metastatic malignancy. Histopathology of the nodules confirmed the diagnosis of tuberculosis; and with standard antituberculosis therapy they disappeared and the patient's symptoms improved